WAKEMED SPECIALISTS GROUP LLC
NPI 1790343366
Pediatrics - Neonatal-Perinatal Medicine in Raleigh, NC

Active since May 30, 2019
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7846(919) 350-8147 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2019, May 30, 2019 (2 updates tracked since 2019).

About Wakemed Specialists Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAKEMED SPECIALISTS GROUP LLC (NPI 1790343366) is a healthcare organization registered as a neonatal-perinatal medicine in Raleigh, North Carolina and active in the NPI registry since May 2019. The organization lists Karen Revicki Perry, Sled, as its authorized official.

NPPES Registry Identity

NPI1790343366
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameWAKEMED SPECIALISTS GROUP LLC
Location Address3024 NEW BERN AVERaleigh, NC 27610-1247
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0552 · Fax (919) 350-7687
Fax(919) 350-8147
Organization SubpartNo
Authorized OfficialKaren Revicki PerrySled · (919) 350-8000
Enumeration DateMay 30, 2019
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
NPI 1790343366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X
3024 NEW BERN AVE, Raleigh, NC 27610

Other Names 1

Other NameWakemed Childrens Special Infant Care

Other Identifiers 1

Medicaid1790343366NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wakemed Specialists Group LLC's NPI number?

The NPI number for Wakemed Specialists Group LLC is 1790343366. It was assigned to this organization in the NPPES registry on May 30, 2019. The provider is also known as WakeMed Childrens Special Infant Care.

Where is Wakemed Specialists Group LLC located?

Wakemed Specialists Group LLC is located at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-7846.

What is Wakemed Specialists Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

What insurance does Wakemed Specialists Group LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Wakemed Specialists Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wakemed Specialists Group LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.